| NPI | 1912269226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M RANDALL Phlebotomy Technician 315-212-7817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |